Sleep is a topic that involves concepts such as how long it takes to fall asleep, how many times one wakes up at night, how many hours one sleeps at night, sleep stages, dream sleep, snoring, etc
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2

Slight issue:
There are some in vitro and animal studies indicating that valerian could moderately inhibit one of the liver enzymes (cyp 3a4) necessary to process zoloft (sertraline). However, zoloft (sertraline) has multiple metabolic pathways so you should be okay if using less than 1000mg/day of valerian. Make sure your preparation is made from only the root, and not the whole plant.
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4

Chat w/ur Family Doc:
Discuss your concerns w/your prescribing doc, whether Family Doc or Psychiatrist. You didn't mention why you're taking your med combo but I personally would try to stay away from Clonazepam & other benzodiazepines which can be addictive. Before adding 4th drug to your regimen, have you tried taking Sertraline in morning to see if you can sleep better later? Short of that, ask doc about changing rx
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5

Benadryl, melatonin:
You can try an antihistamine Benadryl 25 - 100 mg at night or Melatonin 2.5 - 5 mg at night. You may take up to 10 mg of melatonin at night to help you sleep if needed. Otherwise, try exercising in the AM, astretching out at night, avoiding meals and stressful activities right before bedtime to help you get a good night's sleep.
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6

Depression:
It seems that stressors in your life have affected you a great deal, have caused depression and led to excessive use of Alcohol.Your life is precious! Mixing 2 bottles of wine with Sertraline and over the counter sleeping medication can cause harm.Please go to emergency room for diagnosis, followed by inpatient Psychiatric treatment.
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7

Probably no problem:
There is no known problme of ThermoHeat interacting with sertraline. ON the other had, the interaction has not been studiied, so one can't say for certain that there will be no problem. You must proceed with no flags of danger, but without full medical endorsement.
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8

Not a problem:
Over the counter sleeping pills (usually containing Diphenhydramine or benadryl) should not be used regularly as they cause daytime sleepiness, decreased attention and memory, and tolerance develops. However, there is no specific problem in taking them with sertraline (zoloft).
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9

Absolutely OK:
Melatonin is a natural hormone produced by the pineal gland. Melatonin levels decline predictably with age. Melatonin supplementation has a wide range of beneficial effects--not just as a sleep aid. It is a "regulator of regulators, " and helps maintain circadian rhythms of other hormones, as well. Doses as high as 500 mg/day have been taken for prolonged periods without adverse effects.
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11

There isn't one best:
Sleep medication. Different sleep medications suit different patients and different conditions more optimally. Melatonin is often used because it is often effective, inexpensive, available over the counter and does not cause drowsiness the next day. Make sure that you are using excellent sleep hygiene. Retire ; rise same time each day. Keep bedroom dark ; cool ; use only for sex ; sleep. Turn off.
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13

Sleep hygiene.:
Generally, go to bed at the same time every night, awaken the same time every morning, stay in bed if you awaken during the night, no naps during the day, no activities in bed other than sleeping and relations, don't eat within four hours of going to sleep. Melatonin supplementation can help, too.
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14

Different options:
Some herbals that are used to help sleep include Valerian, Kava Kava, Chamomile, Passion Flower, Hops, Skullcap & California Poppy. Melatonin is always a good option. Kava Kava can cause liver problems.
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17

It sure is...:
At least for mice. I found only a mouse study looking at this effect of jujube. (http://www. Ncbi. Nlm. Nih. Gov/pubmed/17479419). It appears to have components that are sedative and without noticeable side effects.
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18

It can help:
Hydroxyzine is an antihistamine, and is often prescribed as a sleep aid. It is a bit like diphenhydramine (Benadryl) and makes people drowsy, and often a bit groggy in the morning. It seems to make people less anxious as well.
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22

Melatonin:
Melatonin is a very safe and effective substance for insomnia. We naturally produce melatonin in our pineal gland every evening, because the release is triggered by low light or darkness in the environment. If you are under artificial light, melatonin is produced but not released. Also, it has been found that it is an antitumoral agent. Sometimes melatonin needs higher doses, up to 20 mg is safe.
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25

Yes & no:
It is the main component (or only component) of most over the counter sleepaids. It can be of benefit to some, but it is in & out of your system in about 4 hours, which may not help you if anxiety is your issue. It has also been shown to lessen the amount of deep restorative sleep achieved.
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26

See below:
Adipex maybe the reason you're not sleeping, what is a milligram dosage are taking? You can take them both as you prescribed. Although I would not advise it... Talk to your doctor why you're not sleeping. I suspect it is a adipex!
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